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Document(s) in the category of Health Insurance, Dental and Vision. Number of document(s) found: 66
Note: i=interactive
Title
 | Description | Category
|
|---|---|---|
| 2024 NYSCOPBA Empire Plan At-A-Glance | 2024 NYSCOPBA Empire Plan At-A-Glance | Health Insurance, Dental and Vision |
| 2025 PEF Productivity Enhancement Program Enrollment (PEP) Form | 2025 PEF Productivity Enhancement Program Enrollment (PEP) Form | Health Insurance, Dental and Vision |
| 2022 Medicare Part B Monthly Premiums | 2022 Medicare Part B Monthly Premiums | Health Insurance, Dental and Vision |
| Health Insurance FAQ - State Employees | Benefits FAQ - State Employees | Health Insurance, Dental and Vision |
| Health Insurance FAQ - Research Foundation | Benefits FAQ - Research Foundation | Health Insurance, Dental and Vision |
| Health Insurance Ineligibility Formi | Employees who are ineligible for New York State health insurance are required to sign this form. | Health Insurance, Dental and Vision |
| Research Foundation Benefits Enrollment Form | Used by Research Foundation employees to enroll in or make changes to benefits | Health Insurance, Dental and Vision |
| Health Insurance Transaction Form PS404 | Used by State employees to enroll in or change status with a health insurance plan | Health Insurance, Dental and Vision |
| Dental Claim Form - Delta - UUP | UUP employees can use this form to make a dental claim. | Health Insurance, Dental and Vision |
| UUP Benefit Trust Fund Enrollment Cardi | For UUP employees to enroll in UUP Benefit Trust Fund that provides coverage for dental, vision and tuition scholarship | Health Insurance, Dental and Vision |
| Research Foundation Payflex Enrollment Form | Research Foundation Payflex Enrollment Form | Health Insurance, Dental and Vision |
| 2024 CSEA Empire Plan At-A-Glance | 2024 CSEA Empire Plan At-A-Glance | Health Insurance, Dental and Vision |
| 2024 PBANYS Empire Plan At-A-Glance | 2024 PBANYS Empire Plan At-A-Glance | Health Insurance, Dental and Vision |
| 2024 PEF Empire Plan At-A-Glance | 2024 PEF Empire Plan At-A-Glance | Health Insurance, Dental and Vision |
| 2024 UUP Empire Plan At-A-Glance | 2024 UUP Empire Plan At-A-Glance | Health Insurance, Dental and Vision |
| NYS Health Insurance Proofs | The proofs required for enrollment in the NYS Health Insurance Program (NYSHIP) | Health Insurance, Dental and Vision |
| 2022 Medicare Part D Costs for Those with Higher Income | You pay your Part D IRMAA directly to Medicare, not to your plan or employer. You're required to pay the Part D IRMAA, even if your employer or a third party (like a teacher's union or a retirement system) pays for your Part D plan premiums. | Health Insurance, Dental and Vision |
| Research Foundation Benefits Outline | Research Foundation Benefits Outline | Health Insurance, Dental and Vision |
| 2022 RF COBRA Insurance Rates | 2022 RF COBRA Insurance Rates | Health Insurance, Dental and Vision |
| 2022 Research Foundation Bi-Weekly Health Insurance Rates | Lists the bi-weekly employee cost for the various health insurance plans while in a paid or leave without paid status | Health Insurance, Dental and Vision |
| NYS Planning for Retirement -- April 2021 | Important Information for Employees of New York State Health Insurance Coverage and Related Benefits in Retirement. | Health Insurance, Dental and Vision |
| 2025 NYSHIP Health Insurance Choices Booklet | This booklet explains the options available to you under the New York State Health Insurance Program (NYSHIP) for your health insurance and other elections. You may choose coverage under either The Empire Plan or one of the NYSHIP-approved Health Maintenance Organizations (HMOs) in your area. | Health Insurance, Dental and Vision |
| 2023 NYS Health Insurance Rates | NYS Health Insurance Rates - NYS Health Insurance Rates | Health Insurance, Dental and Vision |
| Davis Vision (Management Confidential - M/C) | Davis Vision (Management Confidential - M/C) | Health Insurance, Dental and Vision |
| NYSHIP Summary of Benefits and Coverage (SBC) | Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| Vision FAQ-Davis Vision | FAQ New York State Vision Plan | Health Insurance, Dental and Vision |
| NYS Employee Waiting Periods | Health, Dental and Vision coverage waiting periods for newly eligible employees | Health Insurance, Dental and Vision |
| 2021 NYSHIP Retiree General Information Book | 2021 NYSHIP General Information Book for NY Retirees (Empire Plan and NYSHIP HMO) | Health Insurance, Dental and Vision |
| NY State Health Insurance Program (NYSHIP) Pre-Tax Contribution Program | NY State Health Insurance Program (NYSHIP) Pre-Tax Contribution Program | Health Insurance, Dental and Vision |
| Empire Plan Rx Drug Program (Medicare Primary ONLY) | Empire Plan information about Medicare prescription drug coverage only, Certificate of creditable coverage | Health Insurance, Dental and Vision |
| RF Young Adult Health Insurance Option Information and Form | Unmarried children of SUNY Research Foundation (RF) Health Insurance enrollees who are under the age of 30 and not eligible for health insurance through their own employer will be eligible to enroll in the same coverage as their parents beginning January 1, 2010. | Health Insurance, Dental and Vision |
| Name and Address Change Form | Should be completed and sent to HR Benefits to update health insurance records whenever an employee moves. | Health Insurance, Dental and Vision |
| 2019 Opt-out Attestation Form (PS-409) | 2019 Opt-out Attestation Form (PS-409) | Health Insurance, Dental and Vision |
| CSEA Employee Benefit Fund Summary | This document contains important information concerning CSEA EBF Dental, Vision and Rx Co-pay plans. | Health Insurance, Dental and Vision |
| Dental Claim form-GHI-PEF and M/C employees | Used by PEF-represented and M/C employees to be reimbursed for out-of-network dentists for GHI Dental | Health Insurance, Dental and Vision |
| 2024 Research Foundation Benefits Bulletin--Open Enrollment Information | Research Foundation October 2024 Edition of the Benefits Bulletin including Open Enrollment Information | Health Insurance, Dental and Vision |
| Davis Vision (PEF) | Davis Vision (PEF) | Health Insurance, Dental and Vision |
| RF 2014 New Health Insurance Marketplace Coverage Options and Your Health Insurance | This is a required notice that provides information to all RF employees about the availability of the health plan marketplace. | Health Insurance, Dental and Vision |
| 2022 RF Summary Benefits of Coverage Empire Blue Cross Deductible PPO | RF Summary Benefits of Coverage Empire Blue Cross Deductible PPO | Health Insurance, Dental and Vision |
| RF Empire PPO Exercise Rewards-Gym Reimbursement - Exercise Log | Gym Membership. Up to $300 annual reimbursement; 50 visits required semi-annually | Health Insurance, Dental and Vision |
| Dental Enrollment/Change form-For DeltaCare USA ONLY-UUP | Enrollment form for dental HMO-type program | Health Insurance, Dental and Vision |
| NYSHIP 2023 Rates for Retirees | NYSHIP 2023 Rates for Retirees | Health Insurance, Dental and Vision |
| Research Foundation Benefits Welcome Notice | Research Foundation Benefits Welcome Notice | Health Insurance, Dental and Vision |
| Medicare and NYSHIP | Medicare and NYSHIP | Health Insurance, Dental and Vision |
| NYSHIP 2021 General Information Booklet | Provides information about eligibility, enrollment and other NYSHIP rules and provisions | Health Insurance, Dental and Vision |
| New York Health Insurance Marketplace Coverage Options and Your Health Insurance | This is a required notice that provides information to all NYS employees about the availability of the health plan marketplace. | Health Insurance, Dental and Vision |
| 2023 NYS COBRA Health Insurance Rates | 2023 NYS COBRA Health Insurance Rates | Health Insurance, Dental and Vision |
| RF Empire PPO Exercise Rewards-Gym Reimbursement | RF Empire PPO Exercise Rewards-Gym Reimbursement | Health Insurance, Dental and Vision |
| RF Empire PPO Exercise Rewards - Gym Reimbursement Form | Gym Membership. Up to $300 annual reimbursement; 50 visits required semi-annually | Health Insurance, Dental and Vision |
| CVS Caremark Mail Order Form (Empire Plan) | CVS Caremark Mail Order Form (Empire Plan) | Health Insurance, Dental and Vision |
| 2022 RF Summary of Benefits Coverage Empire BlueCross and Blue Shield Traditional PPO - Research Foundation of SUNY | Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| 2022 RF Summary of Benefits Coverage - MVP | Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| Davis Vision - Laser Vision Correction Form (UUP) | Davis Vision - Laser Vision Correction (UUP) | Health Insurance, Dental and Vision |
| Life Changes and Your Benefits-State | The following HR document is a quick overview that explains some of the steps NYS employees must follow subsequent to life changing events, such as marriage, the birth of a new baby, adoption or retirement. | Health Insurance, Dental and Vision |
| 2021 On the Road with the Empire Plan | 2021 On the Road with the Empire Plan | Health Insurance, Dental and Vision |
| PayFlex Expense Guide (Research Foundation) | PayFlex Expense Guide (Research Foundation) | Health Insurance, Dental and Vision |
| 2023 Upstate (NYS) active and LWOP health insurance rates | 2023 NYS Health insurance active and leave without pay biweekly rates | Health Insurance, Dental and Vision |
| Research Foundation Vision Plan Comparisoni | Research Foundation Vision Plan Comparison | Health Insurance, Dental and Vision |
| NYSHIP 2025 Rates & Deadlines | NYSHIP 2025 Rates for Active Employees | Health Insurance, Dental and Vision |
| Life Changes and Your Benefits-Research Foundation | The following HR document is a quick overview that explains some of the steps Research Foundation employees must follow subsequent to life changing events, such as marriage, the birth of a new baby, adoption or retirement. | Health Insurance, Dental and Vision |
| 2025 Productivity Enhancement Program (PEP) CSEA Enrollment Form | 2025 Productivity Enhancement Program (PEP) Form - CSEA | Health Insurance, Dental and Vision |
| 2025 Productivity Enhancement Program (PEP) Enrollment Form - UUP | 2025 Productivity Enhancement Program Enrollment(PEP) Form - UUP | Health Insurance, Dental and Vision |
| UUP Benefit Trust Fund (BTF) Dental and Vison Dependant Information | UUP Benefit Trust Fund (BTF) Dental and Vison Dependant Information | Health Insurance, Dental and Vision |
| 2024 Planning for Option Transfer | 2024 Planning For Option Transfer for NYS Employees | Health Insurance, Dental and Vision |
| Productivity Enhancement Program (PEP) Summary - CSEA | 2021 Productivity Enhancement Program (PEP) Summary - CSEA | Health Insurance, Dental and Vision |
| 2024 M/C Empire Plan At-A-Glance | 2024 M/C Empire Plan At-A-Glance | Health Insurance, Dental and Vision |